Transcription of Workplace Inspection - Mentor Safety
1 Date:_____Time Of Inspection :_____Department:_____Inspecte d By:_____Repeat time of RecommendedImplementation(Y/N)insp'n?Act ionDateClass Codes: A = Major B = Serious C = MinorTo (For Actions):Cc (For Information):Inspected By:A condition or practice likely to cause minor, non-disabling injury or illness, or non-disruptive property damage. For example, handling solvents without using proper protective A Hazard:Class B Hazard:Class C Hazard:2A condition or practice likely to cause serious injury or illness, resulting in temporary disability or property damage that is disruptive but not extensive. For example, spilled oil on the main condition or practice likely to cause permanent disability, loss of life or body part, and/or extensive loss of structure, equipment or material.
2 For example, an unguarded Inspection1 LocationHazard(s) ObservedPerson(s)For Follow-UpResponsibleObservations3456789
